Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $67.37 / $72.17	Facility		$67.37	$67.37	$72.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $67.37 / $67.37	Professional		$67.01	$67.37	$67.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.01 / $543.47 / $1,020.23	Facility		$401.01	$543.47	$1,020.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $204.30 / $276.77	Professional		$121.78	$204.30	$276.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $135.34 / $174.09	Professional		$55.31	$135.34	$174.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $101.06 / $328.49	Facility		$67.01	$101.06	$328.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $226.67 / $440.48	Professional		$150.44	$226.67	$440.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $135.34 / $174.09	Facility		$92.03	$135.34	$174.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $117.18 / $174.09	Professional		$92.03	$117.18	$174.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $692.70 / $737.28 / $782.20	Professional		$692.70	$737.28	$782.20
United Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $241.59 / $307.52	Professional		$149.41	$241.59	$307.52